HomeMy WebLinkAboutPermit Signage 2013-8-29 II
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CITY OF SPRING FIELD, OREGON 1 ` • F f °l•,rTrri:p (J°
225 rtrrn StintT • SPRING EMI D,OR 97477 . Fn:(541)72n-3758 FAX:154 D7'26 3689 4r L, ::4-.. t. �' r�
City Job Number //', 513 - 01 9 7C�
• O Job,Location gjO4Lgh'1474-7 y/7 {; _ ....- . - .-- ... . .
Assessors Map
1703 ZZo0 Tax Lot 0230-s-
H 1,0.4C/14161— 1-0 745) ,Y73O ?LW"-iLt4 7 5'_
Business Name �
CA Business Contact Name /-94-+•k)_5GY1 e.r" .?0711- Phone
U Gateway Mall LLC
• Owner-of Proper°' y
Address 3000 Gateway St Phone 541-284-3201
N.
up City Springfield State OR Zip 97477
▪ Contractor/Installer .! "1.f
Address t�/4 A C 7144) Jul.
�' Phone
ECity h, -1A-1/] State �)�> Zip 9720 C.
o Construction Contractors License# 6?42 2- Expires ./1/11/5
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l Description J ctla1 414-area-
Date of Installation 9J6/I1DIJ Date of Removal /41W
Permit Fee: $225.00 including$100.00 Deposit and applicable fees.
By signature,I state and agree that I have carelblly completed this application and hereby certify that
,I all information herein is true and correct. I further agree and understand that individual banners and
q!IJ portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand
, r, r that temporary signs shall be removed within 30 days from the date listed above. If the temporary
coo sign(s) are not removed within the timeline specified,I will forfeit the$100.00 deposit. I also
understand that this special permit can only he issued four(4)times per calendar year per development
area. I also agree to call the inspection line at(541)-726-3769 by the end of the 30th day to request an
inspection to verify the removal of the to .porary sign(s). This inspection will begin the process to
iti return the$100.00 deposit if the t '.or 9 sign(s)have been rethoVed.
O Property Owner Signature A • i, -_/..- Date 08/29/2013
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Date of Application Job ii s3 - 01 S 7°Receipt i zo(3 - ) q
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HI Issued By Amount Collected ai ZS
Shared Dint IT'.IEnileine romu7en:pora sign Paw CR)i-I].Av
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SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth
ryto TRANSACTION RECEIPT Sp ngfeldtOR97477
541-726-3753
811-SPR2013-01970
www.spdngfield-or.gov 2730 GATEWAY ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013001924 RECORD NO:811-SPR2013-01970 DATE:08/29/2013
!DESCRIPTION . ACCOUNT:CODE/TRANS CODE - AMOUNT DUE
Admin fee(10%of applicable fees) 224-00000-426605 1098 20.00
Banner, Portable 224-00000-425602 1065 100.00
Banner, Portable Deposit 821-00000-215500 1049 100.00
Technology fee(5%of permit total) 100-00000-425605 2099 5.00
TOTAL DUE: 225.00
LPAYMENT TYPE` , . PAYOR CASHIER:DeowLSer - - COMMENTS,. AMOUNT,PAID . "- I
Credit Card RAMSAY SIGNS INC Refund to: 225.00
H75976 Ramsay Signs
Attn: Garrett Gibson
9160 SE 47th Ave, Portland OR
97206
TOTAL PAID: 225.00